Senior Approval Officer

• Feb 2018 - Present

Senior Approval Officer

• Feb 2018 - Present

•Handling multifaceted tasks (Medical coding and approvals – IP & OP, coordinating with HR and insurance companies regarding renewal of doctor’s licences, calculating Invoice Copies of consumables by liaising with OT stores) •Ensuring approvals and revision requests are obtained within specific time frames (with strict adherence to appropriate coding guidelines and HAAD Guidelines) thereby facilitating timely submission of claims and income growth. Achieved an approval conversion ratio of 96% and policy processing time of 1 day •Successively juggled multiple priorities and meeting tight deadlines without compromising quality achieved instrumental revenue and income growth of 10% over a 6-month target. Reporting to Team Leader.•Provided expertise on meeting Adjudication guidelines for different services including bariatric procedures thereby reducing rejections at claims level.•Rendering on-call services and ensuring hospital protocols are met prior to acceptance regarding emergency transfer-ins and transfer-outs of patients. Successfully trained new hires, the process of processing authorization requests.Medical Coding Experience: Achieved minimal claim revisions- IP (Day case and DRG’s) and timely payment of claims by meeting proper coding and billing guidelines (using 3M and FindACode) Show less

Insurance Coordinator

• Feb 2017 - Jan 2018

Preparing both inpatient and outpatient claims with required documentation and distributing and liaising with insurance companies in a timely manner to expedite paymentProvided expertise on risk mitigation via coverage guidelines and limits while also assisting patients with eligibility and benefit coverage questionsLiaison for client and insurance company including claims processing, analysing insurance receivables and reports while working closely with staff to research, identify and provide solutions to client and insurance company inquiries.Acquired specific CPT, HCPCS and ICD-10 codes through softwares like 3M Encoder to ensure proper documentation, treatment and billing of all detailed inpatient and outpatient proceduresPractised professional telephone etiquette and customer service while making claim inquires and quickly resolving any patient complaints and concernsDemonstrated strong attention to detail and ability to multitask within the fast-paced, high-pressure work environment with exceptional employee performance evaluation scores Show less

Customer Service Team Lead

• Jan 2016 - Jan 2017

•Serving as a primary point of contact for both staff and patients in order to provide an effective and efficient administration with respect to customer care, quality control and data entry.•Communicating with patients in a clear and concise manner on a daily basis and ensuring that any complaint is addressed immediately by the concerned department and action is taken. Work includes liaising with different departments including doctors, nurses, facility, IT, Biomedical, Housekeeping and Quality to ensure that needs of patients are met.•Responsible for reducing waiting time associated with IP discharges by ensuring that all patients are discharged within an hour after the admitting physician has confirmed the discharge.•Proactively managing own daily workflow while also assisting the Quality Department to ensure key performance indicators and service standards (JCI) are met in the In-patient Department. Also responsible for collecting Customer Satisfaction Feedbacks of patients who are discharged and submitting it to the Quality Department on a daily basis. Show less

Researcher

• May 2014 - Aug 2016

•Currently I have worked with Parkinson’s UK by conducting research about the experiences of people with Parkinson’s Disease in the workplace. I coordinated the research in two phases by distributing questionnaires and conducting semi-structured interviews with the participants. •Since the research encompassed both a predefined sample of people with Parkinson's Disease and priori issues in the workplace, Framework Analysis was used to decode transcripts from interviews for which I have been effectively trained for at the University of Salford.• I am also an experienced user of the SPSS software, I intend to record demographic and other vital information of the participants by using SPSS, thereby gaining experience in both quantitative and qualitative methods as well.• Having submitted an Executive Summary to Parkinson's UK and to all participants who took part in this research, I have also presented my research at a research conference conducted during the International Festival of Public Health 2015 at the University of Manchester. This has improved my communication, practical and analytical skills in the subject and has taught me the effective methods of applying my knowledge to other disciplines. Show less

Student

• Sep 2013 - Jan 2016

•Carried out power point presentations on global public health issues like drug-resistant tuberculosis and also presented comparative analysis of health data.•Compiled information from different databases and prepared research articles on public health issues like Coronary Heart Disease, Autism, and Dementia•Evaluated the Student Nutrition Program (SNP) in promoting healthy eating behaviours in 4500 school aged children in Lambton County. Mentored and successfully taught Epidemiology and Statistics to groups of students and colleagues at the University. Show less

Delegate

• 2013 - 2015

IEMA Certified Green Impact Auditor

• Apr 2015 - Apr 2015

•Attended IEMA approved Introduction to Auditing and Evaluating Behaviour Change training and volunteered to train and act as a volunteer auditor for Green Impact scheme 2015. •Conducted three audits on behalf of the Green Impact Sustainability Team at the Microbiology and Clinical Research Departments of the Manchester Royal Infirmary and at University of Salford. This involved evaluating measures taken to resolve environmental issues in the workplace relating to energy use, waste management, ethical procurement, and sustainable transport. Acquired excellent professional auditing, analytical, and relationship building skills. Show less

Research Volunteer

• Sep 2014 - Dec 2014

Delivered a briefing note providing specialist advice and guidance on how Healthwatch Manchester could link patient services for people with progressive disorders in the workplace and help improve the workplace settings in the UK. Delivered a briefing note providing specialist advice and guidance on how Healthwatch Manchester could link patient services for people with progressive disorders in the workplace and help improve the workplace settings in the UK.

Medical Interpreter

• Sep 2013 - May 2014

•I work for different NHS Hospitals across Manchester to help bridge the gap of communication between health care professionals and patients who are not fluent in English. •I am responsible for translating highly confidential medical information between my clients and the doctor. •My work essentially involves travelling to different NHS hospitals in Manchester as and when a booking arises. •Attending to emergency bookings that arises occasionally at private firms or local agencies. •Working as an interpreter has also fortified essential communication and decision making skills. Also gained an in-depth understanding and knowledge about hospital settings and patient management in the UK. Show less

Doctor

• Sep 2012 - Sep 2013

•Contributed to the functioning of the clinic by consulting patients everyday and was responsible for providing them with a treatment plan that included both internal and external medicines. •Excelled myself in orthopedic and massage therapy for paralytic and hemiplegic patients. Trained in fixing dislocations and fractures as well. •In order to appraise the effectiveness of medicines and therapies, I ensured that patient data like vital signs, blood reports, ECG s, MRI scans, USG scans and X-rays were collected both before and after treatment. •In instances of paralysis and stroke patients where significant improvement was observed, I conducted one-to-one interviews with the patients after the treatment was over and ensured that their names were kept anonymous. All the data including the transcripts from interviews were presented as findings in seminars I conducted at various colleges and health awareness campaigns. •Responsible for preparing traditional medicines for neurological disorders where there existed evidence of efficacy in the literature. •My clinical practise benefited me in developing essential communication skills which was necessary to change the mindset of the patients who often were unsure about the effectiveness of complementary medicine.The ability to convey the effectiveness of traditional medicine to patients and to prove it in practise was therefore an essential part of my job. Show less

Medical Intern Officer

• May 2011 - Jun 2012

•Team leader of a number of medical camps conducted during fever outbreak diseases like Dengue fever and Chickungunya which was spreading rapidly in Kerala and Tamil Nadu during this period. •This involved working as a team to screen susceptible populations in Chennai. Those who were screened positive for the disease were given special medicines while those screened negative were given preventive medicines to reduce the likelihood of being infected with the disease pathogen. •Leading a group of 8, I also actively contributed to research in the treatment of Psoriasis by collecting relevant information about patients under the study. •Serviced myself in rendering help to senior researchers working in the institute by feeding the collected data into the computer database therebylearning more about software programmes like SPSS used for data analysis. •Revising new protocols for the community treatment during the disease outbreak . •Presented a research paper on the role of Vitamin-C in reducing coronary heart disease. •Prescribed free medicines to patients and keeping a stock of all medicines that were available at the Institute. •Carried out necessary clinical examinations on patients and recorded results in the case sheets. •Carried out one-day visits to 3 reputed pharmaceutical companies renowned for preparing medicines commercially thereby strengthening knowledge about how medicines are manufactured. Show less

Research Assistant

• Jun 2011 - Aug 2011

Psoriasis Research, collected data from patients under treatment and analysed results using SPSS software. Generated understanding of the action of the drug by carrying out extensive literature searches and backing up the positive results of the drug action through literature evidence. Presented research paper on the Action of Vitamin - C in preventing Coronary Heart Disease. Seminars and presentations. Organised one-day trips to pharmaceutical companies like IMPCOPS to understand industrial manufacture of drugs. Show less